Individual
KEITH E SETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 RIDGE RD STE 200, MCKINNEY, TX 75070-5104
(469) 287-8381
Mailing address
PO BOX 261402, PLANO, TX 75026-1402
(469) 287-8381
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
45852-020
WI
208600000X
Surgery Physician
Primary
M5494
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035ZE
BCBS
—
01
—
334688YX5G
MEDICARE GROUP NUMBER PROVIDER NUMBER
—
01
—
M5494
STATE LICENSE
TX
Enumeration date
10/10/2006
Last updated
05/13/2014
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